Global Health Archives - Ascend Magazine /ascend/tag/global-health/ Wed, 31 Jul 2024 00:42:24 +0000 en-CA hourly 1 https://wordpress.org/?v=6.9.4 York health researcher tackles TB stigma through partnership in India /ascend/article/tb-stigma/ Wed, 31 Jul 2024 00:42:23 +0000 /ascend/?post_type=article&p=483 To conduct this purposeful research abroad, York faculty work with their counterparts in other countries to forge international partnerships, based on an inclusive and decolonizing approach.   Such work aligns with York’s Global Engagement & Internationalization Strategy, launched earlier this year. The strategy reflects a commitment to Advancing Global Engagement, one of the six priorities for action in […]

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To conduct this purposeful research abroad, York faculty work with their counterparts in other countries to forge international partnerships, based on an inclusive and decolonizing approach.  

Such work aligns with York’s , launched earlier this year. The strategy reflects a commitment to Advancing Global Engagement, one of the six priorities for action in the University Academic Plan. 

One country that York has strong engagement with is India, particularly in the field of health-related research. York’s newly launched Global Research Excellence (GRE) Seed Fund prioritizes many new and existing partners in the country. The University is also a member of the Shastri Indo-Canadian Institute, a non-profit organization that promotes academic, government and business connections between India and Canada. 

In India and elsewhere, York researchers draw on their expertise in health sciences, health management and health informatics, among other health-related fields, to collaborate on studies about infectious diseases, such as malaria, HIV and tuberculosis (TB), which affects many people living in the Global South. This work explores not only combatting the diseases themselves but also involves researchers working to understand their socio-economic consequences.

One such researcher is Amrita Daftary, an associate professor in the School of Global Health and the School of Health Policy & Management.   

Amrita Daftary, Associate Professor, School of Global Health and School of Health Policy and Management, Faculty of Health
Amrita Daftary, Associate Professor, School of Global Health and School of Health Policy and Management, Faculty of Health

“Global health research requires trust and good will built upon long-standing relations, which York has allowed me to sustain,” she says. “My colleagues and I have many points of connection, not transactional in nature nor tied to a single grant. Through these international collaborations, I am grateful my work can have a global impact.”  

Daftary’s research focuses on the social determinants of tuberculosis, primarily in South Africa. But Daftary grew up in India, a country with nearly 25 per cent of the world’s TB burden, where she witnessed first-hand the stigma and isolation faced by people living with TB.  

“Tuberculosis is fully preventable and curable, but it’s rampant in forgotten populations,” says Daftary, who is also the founder of the Social Science & Health Innovation for Tuberculosis Centre, a virtual network of scholars who work to address the global TB epidemic. “Bringing attention to this neglected illness has always been a focus of my work, which is why my research partnerships in India are incredibly meaningful to me.”  

Daftary has lived outside of India for more than two decades, but over the past several years, she has travelled to her home country to work in partnership with the Foundation of Medical Research (FMR), a national research organization affiliated with Mumbai University.  

It is here where Daftary has been involved with several TB studies run by FMR, acting as an adviser on qualitative research methods and providing her expertise as a social scientist to improve clinical care for TB.  

In one study, Daftary conducted a knowledge-building workshop with former patients, or TB survivors, to better understand decision-making when confronted with symptoms related to TB, such as coughing up blood, fever and weight loss, among others. The workshop helped highlight patient priorities in the clinical treatment of TB.  

Using insights from the workshop discussion, Daftary co-authored an article alongside other experts, including FMR’s current director Nerges Mistry, and TB survivors themselves. Published in the International Journal of Tuberculosis and Lung Disease, “” advocates for a more holistic and human approach in health-care systems.

Daftary’s work in India also considers structural barriers, like gender inequality, that can impact how women with TB access health care and encounter various forms of stigma. She’s done some of this work by supervising Tahiya Mahbub, a postdoctoral Fellow at York, who was based in Mumbai.  

With approval from FMR’s ethics committee, and collaborations with the Médecins sans Frontières’ Mumbai chapter, Daftary and Mahbub used photovoice – a unique research method that involves study participants photographing themselves and their experiences – to explore how women with drug-resistant TB dealt with stigma, and how photovoice helped mitigate it. 

The findings, detailed in “‘,” shed light on their painful lived experiences encountering stigma, ranging from a loss of self, status and mobility to abuse and distress, and feelings of shame and hopelessness. More positively, the method was found to be useful in building a collective resiliency among the study participants.   

The study helped inform patient counselling sessions and identified the participants’ needs for their families to be included in counselling, as well as a desire for improved communications skills among nurses and doctors who monitored them long term.   

“Patients can often feel like they are robots or told they can’t leave their house or go near anyone,” says Daftary. “There’s a real demoralizing approach to care. We need to listen to people who’ve lived through it to tell us how we can do better.”  

Daftary last visited India in late 2022 for her work. She hopes to continue her ongoing collaborations with FMR and others in India as new opportunities emerge, having now established such strong relationships in the country. She’s particularly interested in pursuing student and faculty exchanges in the future. “My work with FMR and my collaborators in India is beyond any one project,” she says. “I hope that we can continue to collaborate on our shared goals to address TB, to engage with communities affected by the disease, and to strengthen knowledge exchange and quality research together.”  

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Prof exemplifies York excellence in global health research through worldwide partnerships /ascend/article/global-health-partnerships/ Wed, 31 Jul 2024 00:42:16 +0000 /ascend/?post_type=article&p=496 Forging strong relationships beyond geographical boundaries enables the York community to conduct meaningful work that defines the University’s approach to research and innovation: interdisciplinary, collaborative and equitable.   Among those leading the way in this is Boateng, a quantitative sociologist and epidemiologist who was recently appointed Canada Research Chair (CRC) in Global Health and Humanitarianism.  One […]

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Forging strong relationships beyond geographical boundaries enables the York community to conduct meaningful work that defines the University’s approach to research and innovation: interdisciplinary, collaborative and equitable.  

Among those leading the way in this is Boateng, a quantitative sociologist and epidemiologist who was recently appointed Canada Research Chair (CRC) in Global Health and Humanitarianism

One of Boateng’s latest research projects is related to his CRC appointment, which aims to measure and quantify different forms of resource insecurity, including food, water, energy and housing, as well as to advance our understanding of the overall health effects of environmental contaminants, both in the Global South and in Canada. This work exemplifies, he said, the importance of having international partners and collaboration.  

“Partnerships are key and without them, global health research isn’t possible,” he said. “첥Ƶ’s partnerships in the Global South greatly expand the scope of my research and allow me to reach populations and communities that would not be accessible otherwise.”  

Boateng’s project looks to collect physiological, ecological, and demographic data from informal settlements in sub-Saharan Africa and Latin America.  

Godfred Boateng, Assistant Professor, School of Global Health, Faculty of Health, Canada Research Chair in Global Health and Humanitarianism
Godfred Boateng, Assistant Professor, School of Global Health, Faculty of Health, Canada Research Chair in Global Health and Humanitarianism

Using high-cost field equipment, the researchers will assess the quality of the air and water samples (stored, drinking and groundwater) found in and around the settlements.  

The data will be used to validate scales, like the Household Water Insecurity Experiences Scale, co-developed by Boateng for use by public health practitioners, non-governmental organizations, government officials, and development agencies to monitor and assess progress on targets set out in the United Nations Sustainable Development Goals around achieving equitable access to safe and affordable drinking water, as well as adequate and equitable sanitation and hygiene. 

This is particularly important in sub-Saharan Africa, where flooding due to climate change is a considerable health risk and bacterial infections like dysentery and waterborne illnesses like cholera are widespread.  

The scales would help researchers and health-care professionals to assign a score to the environmental contaminants found in settlement households, which enables them to determine if water, for example, is safe for consumption without the need for further testing.  

For local governments, this would streamline water, air, and housing quality assessments and provide valuable information to inform health-care policy and decision-making.  

“Our project will also produce the necessary data for comparative studies, so that this evidence can be used in other contexts, including in some Indigenous communities in Canada that face similar resource insecurity challenges,” said Boateng.  

Boateng and his former professor, Fidelia Ohemeng, during the York delegation’s visit to Ghana.
Boateng and his former professor, Fidelia Ohemeng, during the York delegation’s visit to Ghana.

The project is slated to start this summer with 300 households in Accra, Ghana, alongside Boateng’s partners from his alma mater, the University of Ghana, and the University of Cape Coast, before moving onto research sites in Nigeria, Kenya and Malawi, and subsequently to Colombia and Mexico.  

Last month, Boateng was also part of a York delegation that visited Ghana, Nigeria and Kenya. The Africa trip helped the University engage with prospective students and explore partnership opportunities with local universities and research institutions.  

For Boateng, studying global health helps bridge the inequality divide.   

“It’s important to identify the sources of health disparities and the structural determinants of health, so that proper interventions can be put in place,” he said.  

“Global health research, when applied, can not only enhance the quality of life for the world’s most vulnerable populations – women, children and seniors – but it also has life-saving potential for people worldwide. It’s teamwork at its best.”  

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